{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T09:19:37Z","timestamp":1778750377940,"version":"3.51.4"},"reference-count":15,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2003,5,1]],"date-time":"2003-05-01T00:00:00Z","timestamp":1051747200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2003,5,1]],"date-time":"2003-05-01T00:00:00Z","timestamp":1051747200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2003,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Ehlers\u2010Danlos syndrome (EDS) is a heterogeneous collection of inherited connective tissue disorders characterized by hypermobility of the joints and hyperextensibility and fragility of the skin. For many patients, the hypermobile joints become problematic. To date, the mainstay of surgical treatment for EDS\u2010related joint laxity has been open surgical capsulorraphy, which, although usually effective, confers significant morbidity to the patient. We present the case of a 9\u2010year\u2010old girl diagnosed with a variant of EDS and severely disabled from multidirectional instability of her shoulders and recurrent dislocations of her hips. After 1 year of nonoperative treatment (physical therapy, bracing, and activity restriction) failed, we performed a sequential arthroscopic thermal capsulorraphy of both shoulders. At a 2\u2010year follow\u2010up, the patient has no instability in the left shoulder and only occasional subluxations of the contralateral shoulder. We believe that thermal capsulorraphy is a viable addition to the shoulder surgeon's armamentarium in treating multidirectional instability in children with EDS.<\/jats:p>","DOI":"10.1053\/jars.2003.50161","type":"journal-article","created":{"date-parts":[[2003,5,13]],"date-time":"2003-05-13T01:21:15Z","timestamp":1052788875000},"page":"1-4","source":"Crossref","is-referenced-by-count":16,"title":["Thermal capsulorraphy of bilateral glenohumeral joints in a pediatric patient with Ehlers\u2010Danlos syndrome"],"prefix":"10.1002","volume":"19","author":[{"suffix":"III","given":"Julian M.","family":"Aldridge","sequence":"first","affiliation":[{"name":"Division of Orthopaedic Surgery Duke University Medical Center Durham North Carolina U.S.A."},{"name":"University of North Carolina at Chapel Hill School of Medicine Chapel Hill North Carolina U.S.A."},{"name":"Southeastern Orthopaedics Sports Medicine and Shoulder Center Raleigh North Carolina U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John J.","family":"Perry","sequence":"additional","affiliation":[{"name":"Division of Orthopaedic Surgery Duke University Medical Center Durham North Carolina U.S.A."},{"name":"University of North Carolina at Chapel Hill School of Medicine Chapel Hill North Carolina U.S.A."},{"name":"Southeastern Orthopaedics Sports Medicine and Shoulder Center Raleigh North Carolina U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daryl C.","family":"Osbahr","sequence":"additional","affiliation":[{"name":"Division of Orthopaedic Surgery Duke University Medical Center Durham North Carolina U.S.A."},{"name":"University of North Carolina at Chapel Hill School of Medicine Chapel Hill North Carolina U.S.A."},{"name":"Southeastern Orthopaedics Sports Medicine and Shoulder Center Raleigh North Carolina U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kevin P.","family":"Speer","sequence":"additional","affiliation":[{"name":"Division of Orthopaedic Surgery Duke University Medical Center Durham North Carolina U.S.A."},{"name":"University of North Carolina at Chapel Hill School of Medicine Chapel Hill North Carolina U.S.A."},{"name":"Southeastern Orthopaedics Sports Medicine and Shoulder Center Raleigh North Carolina U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2003,5,1]]},"reference":[{"key":"e_1_2_2_2_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-195840030-00015"},{"key":"e_1_2_2_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0278-5919(05)70207-6"},{"key":"e_1_2_2_4_1","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-199801000-00007"},{"key":"e_1_2_2_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1058-2746(10)80009-6"},{"key":"e_1_2_2_6_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198062060-00004"},{"key":"e_1_2_2_7_1","first-page":"576","article-title":"The inferior capsular shift procedure for multidirectional instability of the shoulder","volume":"17","author":"Bigliani LU","year":"1993","journal-title":"Orthop Trans"},{"key":"e_1_2_2_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/036354659202000217"},{"key":"e_1_2_2_9_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199274100-00010"},{"key":"e_1_2_2_10_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.81B2.0810218"},{"key":"e_1_2_2_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-200001000-00024"},{"key":"e_1_2_2_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465980260061201"},{"key":"e_1_2_2_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/036354659702500514"},{"key":"e_1_2_2_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465990270020801"},{"key":"e_1_2_2_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465990270061301"},{"key":"e_1_2_2_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/0749-8063(90)90046-G"}],"container-title":["Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S074980630300224X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S074980630300224X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1053\/jars.2003.50161","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1053\/jars.2003.50161","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1053\/jars.2003.50161","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T08:54:35Z","timestamp":1778748875000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1053\/jars.2003.50161"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2003,5]]},"references-count":15,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2003,5]]}},"alternative-id":["10.1053\/jars.2003.50161"],"URL":"https:\/\/doi.org\/10.1053\/jars.2003.50161","archive":["Portico"],"relation":{},"ISSN":["0749-8063","1526-3231"],"issn-type":[{"value":"0749-8063","type":"print"},{"value":"1526-3231","type":"electronic"}],"subject":[],"published":{"date-parts":[[2003,5]]}}}